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Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to endovenous radiofrequency ablation and laser treat…
Do you want to know how to avoid MSP claims payment delays and inappropriate denials?
Read this article for information on billing PrEP for HIV drugs.
Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to the instructions.
Read this article for important changes and revisions to the MDPP program for calendar year 2026.
The code list for drugs has been updated.
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific documentation with submission of these codes. P…
If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this article guides you through recently clarified payment provisions for dental services in 2023, the provider enrollment…
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1, 2025. This article details how to bill for…
Medicare covers behavioral, mental and psychiatric health services that may improve outcomes for Medicare patients. For more information, please view this article and share these valuable resources and references with your patients.